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Journal of Health Policy and Management
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Health Policy and Management (JHPM) is an electronic, open-access, double-blind and peer-reviewed international multidisciplinary and integrative journal, focusing on health policy, health system, and healthcare management. It began its publication on October 21, 2015. The journal is published twice yearly. It aims to improve the design and implementation of health policies, health systems, and healthcare management, primarily in low- and middle-income countries. JHPM analyzes policy initiatives and healthcare systems and provides evidence-based research to guide policymaking and management decision-making.
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Articles 8 Documents
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Search results for , issue "Vol. 5 No. 3 (2020)" : 8 Documents clear
Multilevel Analysis on the Association of Job Satisfaction and Organization Commitment with Performance of Family Planning Counsellor in Yogyakarta Mufidatun, Ikhtiarisca Olifia; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Performance is an important thing in an organization's efforts to achieve the goals. To evaluate employees objectively, a su­per­­­vi­sor must be able to measure their per­for­man­ce le­vel. There are many job characteristics that emp­loyees consider, but a group of job cha­rac­te­ris­tics tends to be collectively eva­luat­ed in the same way. This study aimed to analy­ze the effect of job satisfaction and organiza­tional com­mit­ment on the employee per­for­man­ce of the Family Plan­ning Counselors in ­YogyakartaSubjects and Method: This study used a cross-sec­tional study. This study was conducted in the office of Family Planning Field Of­fi­cer (PKB), Yogyakarta, Central Java, from January to Feb­ru­a­ry, 2020. There were 200 employees as the samp­le of this study. The sample was collected using simple ran­dom sampling. The dependent vari­able was the performance of PKB emp­loye­es. The inde­pen­dent variables were job satis­fac­tion and organi­za­tio­nal com­mitment. The data we­re collected us­ing questionnaires. The data were analyzed using mul­tilevel analysis with Stata 13.Results: The performance of PKB employess in­­creas­ed with poor good job satisfaction (b=­2.36; 95%CI=1.49 to 3.22; p<0.001) and good or­gani­za­tional commitment (b=1.68; 95%­CI=0.89 to 2.47; p<0.001). PKB office had a con­textual effect on employee performance with ICC=10.75%.Conclusion: Job performance is affected by job satisfaction and orga­ni­za­tional com­mitment. PKB Office has a strong con­textual ef­fect on job performance.Keywords: employee performance, job satis­fac­­tion, organizational commitmentCorrespondence: Ikhtiarisca Olifia Mufidatun. Masters Program in Pub­lic Health, Universitas Sebelas Maret. Jl. Ir. Su­tami 36A, 57126, Surakarta, Central Java. Email: riscaolifia@gmail.com. Mobi­le: +6282­220030006Journal of Health Policy and Management (2020), 05(03): 197-203https://doi.org/10.26911/thejhpm.2020.05.03.05 
Contextual Effect of Community Health Center and Sosio-Demography Determinants on the Performance of Community Health Personnel in Karanganyar, Central Java Mujiran, Mujiran; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Community Health Center is a first-level health service facility that organizes public health efforts and individual health efforts. Good health service is supported by work performance of the health personnel. This study aimed to analyze the contextual effect of community health center and socio determi­nants on the work performance of health personnel.Subjects and Method: This was a cross sectional study conducted at Karanganyar com­munity health centers, in Karanganyar, Central Java, from October to November 2019. A sam­ple of 210 health workers was selected random­ly. The dependent variable was work perform­ance. The independent variables were age, edu­cation, tenure, distribution of services, work motivation, job skills, job satisfaction, health center accreditation status, and work environ­ment. Data were collected by question­naire and analyzed by a multilevel multiple logistic regression run on Stata 13.Results: Good work performance increased with age ≥38 years (b= 1.09; 95% CI= 0.19 to 1.99; p= 0.018), adequate service (b= 0.96; 95% CI= -0.28 to 2.19; p= 0.128), high motivation (b= 0.93; 95% CI= 0.09 to 1.77; p= 0.030), good job skills (b= 0.97; 95% CI= 0.06 to 1.88; p= 0.037), good job satisfaction (b= 0.92; 95% CI= 0.05 to 1.78; p= 0.037), and good working environment (b= 0.95; 95% CI= 0.11 to 1.80; p= 0.026). Good work performance decreased with education ≥Diploma III (b= -0.40; 95% CI= -1.67 to 0.87; p= 0.535) and tenure ≥3 years (b= -0.71; 95% CI= -1.79 to 0.37; p= 0.199). Community health center had strong contextual effect on work performance with ICC= 18.00%.Conclusion: Good work performance incre­ases with age ≥38 years, adequate service, high motivation, good job skills, good job satisfac­tion, and good working environment. Good work performance decreases with education ≥Diploma III and tenure ≥3 years. Community health center has strong contextual effect on work performanceKeywords: work performance, health work­ers, contextual effect, multilevel analysisJournal of Health Policy and Management (2020), 05(03): 162-173https://doi.org/10.26911/thejhpm.2020.05.03.01 
Contextual Effect of the Integrated Non-Communicable Disease Health Post on the Performance of Community Health Workers: A Multilevel Analysis Evidence from Karanganyar, Central Java Chasanah, Eka Siti; Sulaeman, Endang Sutisna; Rahardjo, Setyo Sri
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Epidemiological transition is causing a shift from Communicable to Non­Communicable Diseases (NCD). NCD is a serious threat because it impacts decreasing productivity and increasing economic and social burdens for the community. The control of NCD risk factors in Indonesia is carried out by empowering the community through the Inte­grated Non­­-­­Com­municable Diseases Health Post (Posbindu NCD). One of the important factors determining the success of imple­menting Posbindu is the role of cadres. This study aims to analyze the factors that affect the performance of Posbindu cadres.Subjects and Method: This was an analytic obser­vational study with a cross-sectional design. The study was conducted in 25 posbindus in Karanganyar, Central Java, from February to April 2020. A sample of 200 cadres from 25 cadres was selected by stratified random sam­pling. The dependent variable was the perform­ance of the Pos­­bindu cadres. The independent variables were training, ability, length of em­ployment, motivation, the leader­­ship of the Posbindu chair­man, social network support and appreciation. Data were analyzed using multilevel logistic regression with Stata 13.Results: Job performance increa­sed with trai­ning (b= 1.75; 95% CI= 0.28 to 3.22; p= 0.019), good ability (b= 2.50; 95% CI= 0.95 to 4.04; p= 0.002)­, tenure ≥1 year (b= 1.99; 95% CI= 0.05 to 3.92; p= 0.044), strong moti­vation (b= 2.57; 95% CI= 1.25 to 3.89; p <0.001), good leadership of Posbindu chairman (b= 1.73; 95% CI= 0.44 to 3.03; p= 0.009), and strong social network support (b= 1.24; 95% CI= 0.14 to 2.34; p= 0.028). Incentive increased job performance, but it was statistically non-signi­ficant (b= 1.19; 95% CI= -0.35 to 2.73; p= 0.132). Posbindu had a strong contextual effect on job performance with an ICC of 62.73%.Conclusion: Job performance in­­creases with training, good abilities, tenure ≥1 year, strong moti­vation, good leadership of Posbindu chair­man, strong social network support, and appro­priate incentives. Posbindu has a strong con­textual effect on job perform­ance.Keywords: performance, cadre, non-communi­cable diseaseCorrespondence: Eka Siti Chasanah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ekas­c12@gmail.com. Mobile: +62­81329017587.Journal of Health Policy and Management (2020), 05(03): 204-214https://doi.org/10.26911/thejhpm.2020.05.03.06 
Analysis of Patient Safety Management in the In-Patient Room at Deli Hospital, Medan, North Sumatera Sinaga, Tona Bontor Melkisedek; Zulfendri, Zulfendri; Juanita, Juanita
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Patient safety management means to reduce unnecessary risks and adverse events to the minimum possible level while providing health care. The application of pati­ent safety management had not been maximal in some hospitals. It can cause health problems for patients and health workers. This study aimed to analyze the patient safety manage­ment in the in-patient room at Deli Hospital, Medan, North Sumatera.Subjects and Method: This was a qualitative study conducted in February to July 2018. The three informants were consisted of the head of quality improvement and patient safety, the patient safety team, and the nursing committee at Deli Hospital, Medan, North Sumatera. The data were collected by in-depth interview and observation. The data were analyzed using data reduction, data presentation, and conclusion.Results: The role of hospital organization in implementing management patient safety in the in-patient care had not been maximized. The efforts of increasing the commit-ment of health workers, working environment condi­tion, facility, implementation of standard ope­rating procedure (SOP), and implementing Situation, Background, Assessment, and Re­commendation (SBAR), and implementing sanction, had not been maximize. Communi­ca­tion was not effective. The ability of health workers to perform patient safety had not been maximal as seen from the understanding of a poor safety system. Adverse event report was still of manual type. Number of fall accidents in 2018 was 2 cases.Conclusion: Patient safety management in the in-patient care has not been maximized. Patient safety management can be improved by implementing SOP, SBAR, and its sanctions. Keywords: management of patient safety, quality of service.Journal of Health Policy and Management (2020), 05(03): 180-188https://doi.org/10.26911/thejhpm.2020.05.03.03 
Associations of Perception towards Doctors, Nurses, and Facilities with Perceived Quality and Patient Satisfaction on Inpatient Care at Nabire Hospital Papua Utii, Agustina; Murti, Bhisma; Dewi, Yulia Lanti Retno
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The government's efforts to maintain and improve the highest health status with all resources in the health sector, including personnel, funds, facilities, phar­macy, medical devices, and technology, pro­vide quality health care. Community satis­faction as the service receiver is a comparison between the ser­vices received and the services expected. This study aimed to examine associations of perception towards doctors, nurses, and facilities with perceived quality and patient satisfaction on inpatient care at Nabire Hospital Papua.Subjects and Method: A cross-sectional study was con­ducted at Nabire Hospital, Papua, Indonesia, from March to May 2020. A sample of 207 inpatients was selected by stra­ti­fied random sampling based on the ty­pe of inpatient class I, II, and III.Results: Inpatient satisfaction was affected by age <50 years (b= -0.36; 95% CI= -1.63 to 0.91; p=0.579), type of non-BPJS insurance (b= 0.19; 95% CI= -0.80 to 1.19 p= 0.697), length of stay <7 days (b= -2.39; 95%CI= -3.86 to -0.92; p <0.001), patients’ perception towards adequate inpa­tient facilities (b=3.11; 95%CI=2.13 to 4.07; p <0.001), good quality of inpatient care (b= 2.74; 95% CI= 1.74 to 3.72; p <0.001). The good qua­lity of inpatient care was affected by male sex (b= 0.91; 95% CI= 0.10 to 1.72; p= 0.028), age <50 years (b= -0.24; 95% CI= -1.26 to 0.78; p= 0.644), type of BPJS insurance (b= 0.41; 95% CI= -1.22 to 0.39; p= 0.318), percep­tion towards adequate facilities (b= 1.85; 95% CI= 1.04 to 2.65; p<0.001), good perception to­wards nurses (b= 2.18; 95%CI= 1.04 to 3.33; p <0.001), and good perception towards doc­tors (b= 1.68; 95% CI= 0.89 to 2.47; p <0.001). The good perception towards doc­tors was affected by the education of patients ≥Senior High School (b= 1.16; 95% CI= 0.31 to 1.83; p= 0.005).Conclusion: Inpatient satisfaction is affected by age <50 years, type of non-BPJS insurance, length of stay <7 days, perception towards ade­quate facilities, and good quality of inpatient care.Keywords: Quality, satisfaction, inpatient, path analysisCorrespondence: Agustina Utii. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: agustinautii1@gmail.com. Mobile: 0812­40­­051451.Journal of Health Policy and Management (2020), 05(03): 215-223https://doi.org/10.26911/thejhpm.2020.05.03.07 
Management of Dual Health Asset Applications Developed by The Ministry of Internal Affairs and Ministry of Health in Hospitals in Boyolali, Central Java, Indonesia Rusdiyanti, Yunita; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The management of health assets in Hospitals is a complex matter. State-onwed Hospitals use two applications from the Ministry of Internal Affairs developed by the Development Audit Agencynamely Regional Management Information System of Regional Assets (Simda BMD) and the Ministry of Health namely Application of Infrastructure and Medi­cal Devices (ASPAK). This study aims to deter­mine the management of health assets based on the applications of the Ministry of Internal Affairs and the Ministry of Health in three Regional Public Hospitals in Boyolali Regency.Subjects and Method: This was a descrip­tive-qualitative study using a study case ap­pro­ach. This study was carried out in three Regio­nal Public Hospitals in Boyolali Regency. The main informants were goods treasurer, ware­house section, staff in charge of planning and reporting section, staff in charge of ASPAK,  head of medical support, and head of adminis­trative subdivision. The data were collected using in-depth interviews, non-participative observation, and document observation. The data were analyzed using three  main steps namely data reduction, data display, and conclusion drawing.Results: The staff in charge of asset manage­ment in RSUD Boyolali had a sufficient profi­ciency in the asset concept and management by using the two applications. However, not all steps were conducted on time andfollowing the guidance.Conclusion: The training is required to improve the capability of the staff in charge of asset management. A system is also required  to link the  two applications to provide more effi­cient input system and create inter operability.Keywords: asset managementCorrespondence: Yunita Rusdiyanti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: y_rusdiyanti@yahoo.com. Mobile: 081-22981365.Journal of Health Policy and Management (2020), 05(03): 189-196https://doi.org/10.26911/thejhpm.2020.05.03.04. 
The Effect of Family Development Session through Family Hope Program on Visit to Integrated Healthcare Center and Child Nutritional Status: A Multilevel Evidence Zakiyah, Nisaus; Sulaeman, Endang Sutisna; Pamungkasari, Eti Poncorini
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The Family Development Session through the Family Hope Program (FHP) uses the nutritional status of toddlers as an indicator of the quality of life that reflects the welfare of the community. This study aimed to analyze the effect of the Family Development Session (FDS) through the Family Hope Program on the child nutritional status.Subjects and Method: This was an analytic observational study with a retrospective cohort design. This study was conducted in Ponorogo, East Java, from December to February 2020. A sample of 200 children was selected by simple random sampling. The dependent variable was child nutritional status. The independent variables were FDS (FHP), maternal education, family income, social support, maternal know­ledge, self-efficacy, complementary food, inte­grated community health center. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regression.Results: Child nutritional status was positively associated with FDS (b= 1.24; 95% CI= 0.26 to 2.22; p= 0.014), high maternal education (b= 1.18; 95% CI= 0.16 to 2.19; p= 0.023), family income (b= 1.11; 95% CI= 0.11 to 2.11; p= 0.030), social support (b= 1.57; 95% CI= 0.46 to 2.67; p= 0.006), maternal knowledge (b= 1.24; 95% CI= 0.26 to 2.23; p=0.013), self effi­cacy (b= 1.38; 95% CI= 0.32 to 2.44; p= 0.011), complementary feeding (b= 1.35; 95% CI= 0.33 to 2.37; p= 0.010), and regular visit to inte­grated community health center (b=1.42; 95% CI= 0.28 to 2.56; p=0.015). Integrated health center had strong contextual effects on the child nutritional status with intra-class corre­lation (ICC) = 33.97%.Conclusion: Child nutritional status is posi­tively associated with FDS, high maternal education, family income, social support, maternal knowledge, self effi­cacy, comple­men­tary feeding, and regular visit to inte­grated community health center. Integrated health center has strong contextual effects on the child nutritional status.Keywords: child nutritional status, integrated healthcare centerCorrespondence: Nisaus Zakiyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:nizakiyaah@gmail.com. Mobile: +628­5235948995.Journal of Health Policy and Management (2020), 05(03): 224-234https://doi.org/10.26911/thejhpm.2020.05.03.08 
Nurse Professionalism in Law Perspective: Risk Management of Occupational Health and Safety in the Hospital Arradini, Dewi
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Law number 38/2014 on nursing requires nurses to provide professional services. Unprofessional nurse increases health and safety risk of themselves. This study aimed to describe nursing professionalism in occu­pational health and safety risk management at PKU Muhammadiyah Hospital, Karanganyar, Central Java.Subjects and Method: This was a descriptive qualitative. The study was conducted at PKU Muhammadiyah hospital, Karanganyar, Central Java, from December 2018 to February 2019. There were 6 key informants selected for this study, including (1) Infection prevention and control committee, (2) Head of hospital health promotion, (3) Head division of access to hos­pitals and continuity of service, (4) Head of patient and family rights, (5) Head division of nursing, and (6) Head division of occupational health and safety. A sample of 50 nurses from 7 wards was selected to measure their attitude toward risk management of occupational health and safety. The study sample was selected randomly. Patients were included to describe the quality of health service from their pers­pec­tive. The data were collected by structured interview and analyzed by triangu­la­tion.Results: Nursing professionalism in occu­pational health and safety risk management at PKU Muhammadiyah Hospital was good. In order to maintain and improve nursing pro­fess­ionalism, internal hospital training and regular coordination meeting were conducted, invol­ving ward nurses and heads, and nursing com­mittee. Occupational health and safety risks were minimal. Near-miss and accident cases were recorded and followed up for future pre­ventive purpose.Conclusion: Nursing professionalism in occu­pational health and safety risk management at PKU Muhammadiyah Hospital is good. Some preventive measures had been taken to mini­mize occupational health and safety risk.Keywords: nursing, professionalism, risk managementCorrespondence: Dewi Arradini. School of Health Sciences Mitra Husada. Jl. Achamad Yani 167, Papahan, Tasik­madu, Karanganyar, Surakarta, Central Java. Email: dewiarra29@gmail.com. Mobile: 089­9­4194149.Journal of Health Policy and Management (2020), 05(03): 174-179https://doi.org/10.26911/thejhpm.2020.05.03.02  

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